Flint, Gregory Lynn

Flint, Gregory Lynn is an individual health care provider with primary practice located at 868 E Riverside Dr Suite 200, Eagle ID 83616-6019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Flint, Gregory Lynn can be contacted via phone (208) 367-2864.

Contact Information

Primary practice address
868 E Riverside Dr Suite 200 Eagle ID 83616-6019
Phone: (208) 367-2864
Fax: (208) 323-0310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M3500 Idaho

Profile Details

NPI number 1699866822
LBN Legal business name Flint, Gregory Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 28th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699866822 NPPES
Idaho Other 35006 BLUE CROSS OF IDAHO
Idaho Other 000010004115 BLUE CROSS OF IDAHO
Idaho MEDICAID 002486300 BLUE CROSS OF IDAHO
Idaho Other 070002801 BLUE CROSS OF IDAHO

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